Spreadsheet for Breakout of Burden

RMA 0563-0066 Grid.xlsx

Community Outreach and Assistance Partnership Program

Spreadsheet for Breakout of Burden

OMB: 0563-0066

Document [xlsx]
Download: xlsx | pdf















INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.







Community Outreach and Assistance Partnership Program 0563-0066




DATE PREPARED


November 5, 2010
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)

Narrative Title Page None 120 1.00 120.00 0.3300 39.60

0.00

Narrative None 120 1.00 120.00 2.1600 259.20

0.00

Delivery Plan None 120 1.00 120.00 2.1600 259.20

0.00

Statement of Work None 120 1.00 120.00 4.0000 480.00

0.00

Budget Narrative None 120 1.00 120.00 1.0000 120.00

0.00

Certification Regarding Debarment, Suspension, and other Responsibility Matters - Primary Covered Transactions AD-1047 120 1.00 120.00 0.1600 19.20



Certification Regarding Drug-Free Workplace Requirements (Grants) AD-1049 120 1.00 120.00 0.1600 19.20



Disclosure of Lobbying Activities (form approved under 0348-0046) SF-LLL 120 1.00 120.00 0.1600 19.20



SUBTOTAL


960.00
1,215.60 0.00
0.00

TOTAL OF ALL PAGES


960.00
1,215.60 0.00
0.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c


960.00
1,215.60















































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.







Community Outreach and Assistance Partnership Program 0583-0066




DATE PREPARED


November 5, 2010
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN








REPORTS RECORDS





















TOTAL






FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER HOURS RECORD- HOURS PER KEEPING HOURS
REGS.




so state)
PER (Col. D x E) RESPONSE (Col. F x G) KEEPERS RECORD- (Col. I x J)








RESPONDENT



KEEPER
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K)

Forms & burden approved under other OMB numbers


0.00
0.00

0.00

Application for Federal Assistance (4040-0004) SF 424 120 1.0000 120.00 1.5000 180.00

0.00

Budget Information Non-Construction Programs (4040-0006) SF 424A 120 1.0000 120.00 6.0000 720.00

0.00

Assurances Non-Construction Programs (4040-0007) SF 424B 120 1.0000 120.00 0.2500 30.00

0.00





0.00
0.00

0.00





0.00
0.00

0.00

SUBTOTAL


360.00
930.00 0
0.00
File Typeapplication/CDFV2-corrupt
File Modified0000-00-00
File Created0000-00-00

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